• DRG Specialist

    UPMC (Pittsburgh, PA)
    …completion of Registered Health Informations Administration program (RHIA) or Registered Health Information Technician (RHIT) or CCS AND three years of ... OR Certified Registered Nurse Practitioner OR Doctor of Medicine (MD) OR Registered Health Information Administrator OR Registered Health Information more
    UPMC (10/03/25)
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  • Quality & Risk Adjustment Specialist

    Avera (Sioux Falls, SD)
    **Location:** Avera Health Plans **Worker Type:** Regular **Work Shift:** Day Shift (United States of America) **Pay Range:** _The pay range for this position is ... team built with compassion and the goal of Moving Health Forward for you and our patients. Work where...around Risk Adjustment (RA) initiatives and Healthcare Effectiveness Data Information Sets (HEDIS). The Quality and Risk Adjustment Specialist… more
    Avera (10/28/25)
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  • Billing Code Senior Manager

    HCA Healthcare (Nashville, TN)
    …Bachelor's degree Required **Licenses, Certifications & Training:** + Registered Health Information Technician/Administrator preferred + Certified Coding ... **Benefits** HCA Healthcare offers a total rewards package that supports the health , life, career and retirement of our colleagues. The available plans and… more
    HCA Healthcare (10/12/25)
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  • Auditor, HCC Risk Adjustment Coding - Full Time…

    Datavant (Denver, CO)
    Datavant is a data platform company and the world's leader in health data exchange. Our vision is that every healthcare decision is powered by the right data, at the ... Our platform is powered by the largest, most diverse health data network in the US, enabling data to...vision for healthcare. As an Auditor, HCC Risk Adjustment Coder , you will review medical records to identify and… more
    Datavant (08/08/25)
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  • Senior Field Sales Executive - Healthcare…

    Wolters Kluwer (Honolulu, HI)
    …| Health Language | Wolters Kluwer (https://www.wolterskluwer.com/en/solutions/ health -language)** ** Coder Workbench Solution:** **Risk Adjustment Software ... Wolters Kluwer is a global leader in professional information services that combines deep domain knowledge with specialized technology. Our portfolio offers software… more
    Wolters Kluwer (10/28/25)
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  • Inpatient Coding Auditor

    AdventHealth (Maitland, FL)
    …other services and procedures provided in a tertiary care facility. RHIA - Registered Health Information Administrator + RHIT - Registered Health ... each position may vary based on geographical location. **Category:** Health Information Management **Organization:** AdventHealth Orlando **Schedule:** Full-time… more
    AdventHealth (09/03/25)
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  • Medical Policy Coordinator

    Excellus BlueCross BlueShield (Rochester, NY)
    …policy concepts assessing the estimated utilization impact and cost savings for the Health Plan of the proposed new policy. + Consults with external practitioners, ... New York State license required. + Minimum of three years clinical experience in health care required. + BSN or advanced degree preferred. + Certified Professional … more
    Excellus BlueCross BlueShield (10/29/25)
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  • Clinical Billing Payment Poster

    Texas A&M University System (Bryan, TX)
    Job Title Clinical Billing Payment Poster Agency Texas A&M University Health Science Center Department Clinic Str Finance Centralized Proposed Minimum Salary ... Who we are As one of the fastest-growing academic health centers in the nation, Texas A&M Health...with electronic medical record systems, specifically EPIC; certified billing coder . Knowledge of TAMU rules and regulations. Knowledge, Skills… more
    Texas A&M University System (10/28/25)
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  • Client Inquiry Analyst

    Zelis (Atlanta, GA)
    …payers. + Current certified coder (AAPC or AHIMA), Registered Health Information (RHIA/RHIT) certifications, or RN/LPN with coding knowledge required. ... serve more than 750 payers, including the top five national health plans, regional health plans, TPAs and millions of healthcare providers and consumers across… more
    Zelis (10/26/25)
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  • Director of Quality and Risk Adjustment

    HCA Healthcare (Campbell, CA)
    …giving! **Benefits** HCA Healthcare, offers a total rewards package that supports the health , life, career and retirement of our colleagues. The available plans and ... a low copay. Plans include prescription drug and behavioral health coverage as well as free telemedicine services and...skills in building and maintaining crucial relationships + Delivers information in a clear, concise and compelling manner +… more
    HCA Healthcare (10/23/25)
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